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    Area of Science:

    • Public Health
    • Reproductive Health
    • Perinatal Epidemiology

    Background:

    • Fetal mortality remains a significant public health concern globally.
    • Understanding demographic and risk factor associations is crucial for targeted interventions.
    • Timely data on fetal mortality trends informs public health policy and research.

    Purpose of the Study:

    • To present detailed 2023 fetal mortality data for the United States.
    • To examine trends and disparities in fetal mortality by maternal characteristics and gestational age.
    • To identify key risk factors associated with fetal death.

    Main Methods:

    • Descriptive analysis of all reported fetal deaths (≥20 weeks gestation) in the U.S. for 2023.
    • Examination of trends by comparing 2023 data with 2022 rates.
    • Analysis of fetal mortality rates by maternal race/ethnicity, age, tobacco use, plurality, and gestational age.

    Main Results:

    • The 2023 U.S. fetal mortality rate was 5.53 per 1,000 births, similar to 2022.
    • A 4% increase in fetal mortality was observed for gestations of 20-27 weeks.
    • Rates were highest for Native Hawaiian/Other Pacific Islander and Black non-Hispanic women, and for mothers <15 or ≥40 years, smokers, and those with multiple gestations.

    Conclusions:

    • While the overall U.S. fetal mortality rate was stable, specific subgroups experienced concerning increases.
    • Significant racial/ethnic and age-related disparities persist.
    • Maternal smoking and multiple gestations are key risk factors requiring continued attention.